Mechanical ventilation of patients in helicopter emergency medical service transport: an international survey
Saved in:
| Title: | Mechanical ventilation of patients in helicopter emergency medical service transport: an international survey |
|---|---|
| Authors: | Peter Hilbert-Carius, Manuel F. Struck, Veronika Hofer, Jochen Hinkelbein, Leif Rognås, Jörn Adler, Michael D. Christian, Thomas Wurmb, Michael Bernhard, Björn Hossfeld |
| Source: | Scand J Trauma Resusc Emerg Med Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, Vol 28, Iss 1, Pp 1-7 (2020) Hilbert-Carius, P, Struck, M F, Hofer, V, Hinkelbein, J, Rognås, L, Adler, J, Christian, M D, Wurmb, T, Bernhard, M & Hossfeld, B 2020, 'Mechanical ventilation of patients in helicopter emergency medical service transport : an international survey', Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, vol. 28, 112. https://doi.org/10.1186/s13049-020-00801-1 |
| Publisher Information: | Springer Science and Business Media LLC, 2020. |
| Publication Year: | 2020 |
| Subject Terms: | Adult, Male, Emergency Medical Services, Aircraft, Young Adult, 03 medical and health sciences, 0302 clinical medicine, Germany, Surveys and Questionnaires, QUALITY, Humans, Registries, Original Research, Aged, Retrospective Studies, Aged, 80 and over, RC86-88.9, 9. Industry and infrastructure, MORTALITY, Medical emergencies. Critical care. Intensive care. First aid, Air Ambulances, Middle Aged, Respiration, Artificial, Traumatic Surgery, United Kingdom, 3. Good health, Surveys and Questionnaires [MeSH], Female [MeSH], Aged, 80 and over [MeSH], Aged [MeSH], Adult [MeSH], Humans [MeSH], Retrospective Studies [MeSH], Middle Aged [MeSH], Emergency Medicine, Aircraft [MeSH], Male [MeSH], Switzerland [MeSH], Respiration, Artificial/methods [MeSH], Germany [MeSH], United Kingdom [MeSH], Young Adult [MeSH], Air Ambulances/organization, Austria [MeSH], Emergency Medical Services/methods [MeSH], Registries [MeSH], Austria, Female, Switzerland |
| Description: | BackgroundMechanical ventilation in helicopter emergency medical service (HEMS) environments is a procedure which carries a significant risk of complications. Limited data on the quality and performance of mechanical ventilation in HEMS are available in the literature.MethodWe conducted an international survey to evaluate mechanical ventilation infrastructure in HEMS and collect data of transported ventilated patients. From June 20–22, 2019, the participating HEMS bases were asked to provide data via a web-based platform. Vital parameters and ventilation settings of the patients at first patient contact and at handover were compared using non-parametric statistical tests.ResultsOut of 215 invited HEMS bases, 53 responded. Respondents were from Germany, Denmark, United Kingdom, Luxembourg, Austria and Switzerland. Of the HEMS bases, all teams were physician staffed, mainly anesthesiologists (79%), the majority were board certified (92.5%) and trained in intensive care medicine (89%) and had a median (range) experience in HEMS of 9 (0–25) years. HEMS may provide a high level of expertise in mechanical ventilation whereas the majority of ventilators are able to provide pressure controlled ventilation and continuous positive airway pressure modes (77%). Data of 30 ventilated patients with a median (range) age of 54 (21–100) years and 53% male gender were analyzed. Of these, 24 were primary missions and 6 interfacility transports. At handover, oxygen saturation (p p = 0.04) of the patients were significantly higher compared to first patient contact.ConclusionIn this survey, the management of ventilated HEMS-patients was not associated with ventilation related serious adverse events. Patient conditions, training of medical crew and different technical and environmental resources are likely to influence management. Further studies are necessary to assess safety and process quality of mechanical ventilation in HEMS.Trial registrationThe survey was prospectively registered at Research Registry (researchregistry2925). |
| Document Type: | Article Conference object Other literature type |
| File Description: | application/pdf |
| Language: | English |
| ISSN: | 1757-7241 |
| DOI: | 10.1186/s13049-020-00801-1 |
| DOI: | 10.21203/rs.3.rs-32781/v2 |
| DOI: | 10.21203/rs.3.rs-32781/v3 |
| DOI: | 10.21203/rs.3.rs-32781/v1 |
| DOI: | 10.18725/oparu-51601 |
| Access URL: | https://sjtrem.biomedcentral.com/track/pdf/10.1186/s13049-020-00801-1 https://pubmed.ncbi.nlm.nih.gov/33208195 https://doaj.org/article/6f5a4db0cd5b4c3e82859acdd75b0735 https://www.ncbi.nlm.nih.gov/pubmed/33208195 https://sjtrem.biomedcentral.com/articles/10.1186/s13049-020-00801-1 https://europepmc.org/article/PMC/PMC7672415 https://www.researchsquare.com/article/rs-32781/v1 https://www.researchsquare.com/article/rs-32781/v2.pdf?c=1597347830000 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7672415 https://repository.publisso.de/resource/frl:6472070 https://pure.au.dk/portal/en/publications/2f5b9f51-41c6-4609-81c5-c19d15078343 http://www.scopus.com/inward/record.url?scp=85096201237&partnerID=8YFLogxK https://doi.org/10.1186/s13049-020-00801-1 |
| Rights: | CC BY |
| Accession Number: | edsair.doi.dedup.....d06c0d4cf7f2bd35b06a674affb1dcc6 |
| Database: | OpenAIRE |
Full Text 
Full Text Finder 
Nájsť tento článok vo Web of Science | Abstract: | BackgroundMechanical ventilation in helicopter emergency medical service (HEMS) environments is a procedure which carries a significant risk of complications. Limited data on the quality and performance of mechanical ventilation in HEMS are available in the literature.MethodWe conducted an international survey to evaluate mechanical ventilation infrastructure in HEMS and collect data of transported ventilated patients. From June 20–22, 2019, the participating HEMS bases were asked to provide data via a web-based platform. Vital parameters and ventilation settings of the patients at first patient contact and at handover were compared using non-parametric statistical tests.ResultsOut of 215 invited HEMS bases, 53 responded. Respondents were from Germany, Denmark, United Kingdom, Luxembourg, Austria and Switzerland. Of the HEMS bases, all teams were physician staffed, mainly anesthesiologists (79%), the majority were board certified (92.5%) and trained in intensive care medicine (89%) and had a median (range) experience in HEMS of 9 (0–25) years. HEMS may provide a high level of expertise in mechanical ventilation whereas the majority of ventilators are able to provide pressure controlled ventilation and continuous positive airway pressure modes (77%). Data of 30 ventilated patients with a median (range) age of 54 (21–100) years and 53% male gender were analyzed. Of these, 24 were primary missions and 6 interfacility transports. At handover, oxygen saturation (p p = 0.04) of the patients were significantly higher compared to first patient contact.ConclusionIn this survey, the management of ventilated HEMS-patients was not associated with ventilation related serious adverse events. Patient conditions, training of medical crew and different technical and environmental resources are likely to influence management. Further studies are necessary to assess safety and process quality of mechanical ventilation in HEMS.Trial registrationThe survey was prospectively registered at Research Registry (researchregistry2925). |
|---|---|
| ISSN: | 17577241 |
| DOI: | 10.1186/s13049-020-00801-1 |